RNMG

Medicare Fundamentals for Home Care - Part 2

Course Learning Outcomes

As a result of participating in this learning activity the learner will be able to:

  • Demonstrate knowledge of key components of home health Conditions of Participation (COP’s), responsibilities assigned to professionals as outlined in the COP’s and expectations for defensible documentation for Medicare by passing final exam with a score of greater than 80% at the end of the on-line learning activity.

Description
Home Health Agencies participating in the Medicare Program need to educate professional staff on the importance of Medicare and the Medicare Conditions of Participation as these identify the requirements for operational and service functions. It is critical that home care professionals have a sound understanding of the Medicare requirements and their relationship to documentation and daily operations. Failure to understand this relationship may result in survey deficiencies, loss of Medicare reimbursement, and penalties with far-reaching consequences.

This module provides professional staff with knowledge of key components of the home health Conditions of Participation also referred to as COP’s. The role of the clinician in Quality Assurance and Performance Improvement will be discussed, as well as responsibilities assigned to professionals as outlined in the Conditions of Participation. Finally, fundamental expectations and strategies for effective and defensible documentation will be presented.
Delivery

This is a self-paced course with knowledge check activities. These non-graded activities allow you to check your understanding before proceeding on in the course. At the end of the course, you will be required to take the final exam. You must score 80% or higher to pass the course and complete the evaluation in order to obtain a certificate of completion.

Objectives
  • Identify the key components of the home health Conditions of Participation
  • Discuss the role of clinicians in Quality Assurance and Performance Improvement (QAPI) activities
  • Examine the responsibilities assigned to skilled professionals as outlined in the Conditions of Participation
  • Define skilled, reasonable and necessary in practical terms
  • Outline the fundamental expectations of defensible documentation
Contact Time

1.5 Contact Hour: based on 60 minute hour

Estimated Time

The estimated time for completion for this activity is 1.5 hour(s).

Intended Audience

This course is designed to meet the continuing education requirements of health care professionals such as Registered Nurses, Physical Therapists, Speech Therapists, and Occupational Therapists.

Course Planning Team

Constance J Dreyer, MSN, RN; Joie Glenn RN, MBA, CAE; Dee Kornetti, PT, MA, HCS-D; Cindy Krafft PT, MS, HCS-O; Kathy L. Richie, RN, BSN

Course Expiration Date

As required by ANCC, this course will be reviewed and updated or discontinued on or before March 15, 2023.

Approvals
HLC - Higher Learning Commission
Rochester Community and Technical College is fully accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools.
HLC Institution ID:1399
WNA/CEAP - Wisconsin Nurses Association
"Rochester Community and Technical College is an approved provider of continuing nursing education by the Wisconsin Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation."
Provider Approval Number 0149-006;
Disclosure Statements:

Commercial Support: This course was developed in accordance with ANCC Commercial Support Guidelines. No commercial support was accepted for the development of this course.

Conflict of Interest: This course was developed in accordance with ANCC criteria regarding Conflict of Interest. No one in control of content of this course has any conflicts of interest.

Author Originating

Cindy Krafft - PT MS HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. For the past 15 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization and OASIS. She has served on several CMS driven Technical Expert Panels as well as an expert resource for OASIS Updates. Her focus is on providing the knowledge and tools to operationalize external requirements while keeping the driver of care where it needs to be – the needs of each patient being cared for in the home setting. Cindy has been involved at the senior leadership level for the Home Health Section of the American Physical Therapy Association for more than 10 years and is the immediate past President of that organization. She has been working with APTA and CMS to clarify regulatory expectations and address proposed payment methodologies to ensure the long term participation of all services provided in the home health setting. Cindy is an active member of the National Association of Home Care and Hospice (NAHC) and currently serves on multiple committees. She has written 3 books – The How-to Guide to Therapy Documentation, An Interdisciplinary Approach to Home Care and the Handbook to Home Health Therapy Documentation – and co-authored her fourth, The Post-Acute Care Guide to Maintenance Therapy with her business partner Diana Kornetti PT, MA, HCS-D.

Dee Kornetti - PT, MA, HCS-D

Dee, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers as Owner/Founder of a consulting business, Kornetti & Krafft Health Care Solutions, with her business partners Cindy Krafft and Sherry Teague. Dee is nationally recognized as a speaker in the areas of home care, standardized tests and measures in the field of physical therapy, therapy training and staff development, including OASIS, coding, and documentation, in the home health arena. Dee is the current President of the American Physical Therapy Association’s Home Health Section and serves on the APTA’s national Post-Acute Work Group. She serves as the President of the Association of Homecare Coding and Compliance, and a member of the Association of Home Care Coders Advisory Board and Panel of Experts. She has served as a content expert for standard setting for Decision Health’s Board of Medical Specialty Coding (BSMC) home care coding (HCS-D) and OASIS (HCS-O) credentialed exams. She holds current credentials in Home Health Coding (HCS-D) and Compliance (HCS-C) from this trade association. Dee is also on Medbridge’s Advisory Board for development of educational content on its home health platform, and has authored several courses related to OASIS, Conditions of Participation (CoPs) and therapy. Dee is a published researcher on the Berg Balance Scale, and has co-authored APTA’s Home Health Section resources related to OASIS, goal writing and defensible documentation for the practicing therapist. Dee has contributed chapter updates to the Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy published in 2015.

Links Copyright

Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.

Acknowledgment

This course was developed with Rochester Community and Technical College's Continuing Education and Workforce Development Division located in Rochester Minnesota. Development was funded from the Minnesota State Colleges and Universities System.

Course Code
RNMG
Course Category
Professional Healthcare Continuing Education